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1235363763
JOANNE E KOOISTRA
LONGVIEW, WA
NPI
1235363763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60084292)
Enumeration Date
2009-05-12
Last Update Date
2010-04-22
Business Address
-- JOANNE E KOOISTRA
600 BROADWAY ST
LONGVIEW, WA 98632-3256
Phone number: 360-414-2236
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Mailing Address
-- JOANNE E KOOISTRA
PO BOX 249
LONGVIEW, WA 98632-7154
Phone number: 360-414-2000
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